A Comparative Analysis of Chronic Subdural Hematoma in Two Age Groups of Younger and Older than 75 Years.
10.13004/kjnt.2013.9.2.92
- Author:
Jee Wook RYU
1
;
Sung Ho LEE
;
Seok Keun CHOI
;
In Ho OH
;
Min Ki KIM
;
Bong Jin PARK
;
Tae Sung KIM
;
Bong Arm RHEE
;
Young Jin LIM
Author Information
1. Department of Neurosurgery, Kyung-Hee University School of Medicine, Kyung-Hee University Medical Center, Seoul, Korea. nooname79@gmail.com
- Publication Type:Original Article
- Keywords:
Chronic subdural hematoma;
Elderly;
Burr hole trephination;
Complication
- MeSH:
Aged;
Consciousness;
Drainage;
Hematoma, Subdural, Chronic*;
Humans;
Incidence;
Intracranial Hemorrhages;
Male;
Pneumonia;
Retrospective Studies
- From:Korean Journal of Neurotrauma
2013;9(2):92-95
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: Chronic subdural hematoma (cSDH) is one of the most common types of intracranial hemorrhage. As the number of elderly people is increasing, the incidence of cSDH is growing. Therefore, we analyzed clinical manifestation of the cSDH. METHODS: The authors retrospectively reviewed the data of the 169 patients of cSDH who were 65 years or older and undergone burr-hole trephination and closed drainage in our hospital between January 2008 and December 2012. Patients were divided into two subgroups; group A: young than 75 years, group B: 75 years or older. We analyzed the differences of clinical aspects and surgical results in both groups. RESULTS: Proportion of male patients in group A (83.8%) was higher than in group B (58.4%) with statistical significance (p=0.003). Alteration of consciousness as an initial symptom was significantly more frequent in group A (17.5%) than in group B (4.4%)(p=0.006). Postoperatively, 164 of 169 patients (97%) were free from symptom within three days in both groups. Pneumonia followed the surgery in three patients (one in group A and two in group B). CONCLUSION: There were no difference in the rate of complications between group A and B. Therefore, burr-hole trephination and external drainage is safe and effective management in both groups.
